Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Fig. 63. Bimanual Examinatinn, showing also the disposition of outside fii>gers and left thumb. (Kelly— Operative Oynecology.) PALPATION OF THE BODY OF THE UTERUS 53 The information concerning the Bimanual Examination may be divided as fol-lows: Palpation of Uterus—Position, Size, Shape, Consistency. Tendeiness,Mobility, Attachments. Palpation of Tubo-ovarian Region—Tenderness, Mass or Induration. Palpation of other Regions—Tenderness, Mass or Induration. General Observations—Importance of the Educated Touch, Train OneHand, Use Two Fingers, Examine Deeply in Pelvis, May Draw DownUterus, Preferable Position for Examiner, Conditions in DifferentPatients, Get Intestines out of the Way, Diminish Tenderness.
Text Appearing After Image:
Fit;. 64. Showing tlie other disposition of third and fourth fingers, along thegluteal crease. This allows deeper penetration of the examining fingers in certainexceptional cases, particularly in very stout patients. (Kelly—Oiterative Gyne-cologtj.) PALPATION OF BODY OF UTERUS. POSITION, SIZE, SHAPE, CONSISTENCY, TENDERNESS, MOBILITY, ATTACHMENTS. Locating the Corpus Uteri. Steps. The locating of the corpus uteri will be much facilitated by proceedingas follows: L With two fingers in the vagina, locate the cervix and then push the cervixbackward and upward. 2. Then, with the fingers of the abdominal hand depressing the abdominal wallinto the depth of the pelvis back of the uterus, bring the fundus uteri well forward. 3. Then, with the pressure still maintained in the direction indicated, slip the va-ginal fingers in front of the cervix (Fig. 65). The body of the uterus is thus caughtfirmly between the fingers below and above, and may be clearly felt and outlined. 54 THE PHYSICAL EXA

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